Sacrifice is an interesting skill. It doesn't cost any mana, but instead uses the Paladin's life. Each strike the Paladin lands on an enemy removes 8% of the damage inflicted from the Paladin as well.

The effect is potentially very deadly for the Paladin, and subsequently this skill is seldom used. Healing potions can make up for it, but need to be consumed at a ridiculous rate. Other methods of healing, such as Prayer or items that replenish life, provide much too small healing effecs.

The only way to truly offset the health cost of this skill is to get enough life steal. With enough lifesteal, Sacrifice can be made to cost no life at all

At what price glory? By sanctifying his weapon with some of his own blood, a Paladin of Zakarum is able to increase his efficiency in combat by forfeiting a portion of his own physical essence. This sacrifice is a symbol of faith that even the lowliest Paladin must submit before the Light, in order that he may prove himself worthy of victory.[1]

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